| NPI | 1871694810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: IL 036148391) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO T2006029715) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-05-03 |